1
“IMPACT OF POLITICAL PARTICIPATION WOMEN IN PRI”
SCHEDULE D.
(VILLAGE SCHEDULE PART II.)
NAME OF THE GP:
SERIAL NUMBER OF THE GP:
NAME OF THE BLOCK:
D.1.
NAME OF THE INVESTIGATOR:
AVAILABILITY OF HEALTH INFRASTRUCTURES
D.1.1
IS THERE A PRIMARY HEALTH
CENTER IN THE VILLAGE?
YES………………………………….1
NO…………………………………..2
D.1.1B
HOW MANY BEDS DOES THE PHC
HAVE?
NUMBER………………………[ ][ ]
DON’T KNOW …………….……..99
D.1.2.A
HOW MANY DOCTORS ARE THERE IN
THE PHC?
NUMBER………………………[ ][ ]
DON’T KNOW …………….……..99
D.1.2.B
HOW MANY ADDITIONAL DOCTORS
WERE APPOINTED SINCE 1998?
NUMBER……………………….[ ][ ]
DON’T KNOW……………………..99
D.1.3.A
HOW MANY ANMs ARE THERE IN THE
PHC?
NUMBER……………..…………[ ][ ]
DON’T KNOW ………………….…99
D.1.3.B
HOW MANY ADDITIONAL ANMs WERE
APPOINTED SINCE 1998?
NUMBER…………………..…….[ ][ ]
DON’T KNOW…………………..…..99
D.1.4
(IF THERE IS NO PHC) HOW FAR IS THE
NEAREST PHC
KILOMETERS…………………....[ ][ ]
D.1.5
IS THERE A HEALTH SUB-CENTER IN
THE VILLAGE?
YES………………………………….1
NO…………………………………..2
D.1.6
IS THERE A HEALTH SUBSIDIARY
CENTER IN THE VILLAGE?
YES………………………………….1
NO…………………………………..2
D.1.7A
D.1.7.B
QUESTION D.1.7 TO D.1.10 REFER TO THE SUB-CENTER OR THE SUBSIDIARY
CENTER, WHICHEVER IS APPROPRIATE. IF THERE IS NO PRIMARY CENTER, NO
SUBSIDIARY CENTER OR SUB-CENTER, GO TO QUESTION D.1.11
HOW MANY DOCTORS ARE THERE IN
NUMBER……………..…………[ ][ ]
THE SUB-CENTER/SUBSIDIARY
DON’T KNOW ………………….…99
CENTER?
HOW MANY ADDITIONAL DOCTORS
NUMBER……………..…………[ ][ ]
WERE APPOINTED SINCE 1998?
DON’T KNOW ………………….…99
D.1.8.A
HOW MANY ANMs ARE THERE IN THE
SUB-CENTER/SUBSIDIARY CENTER?
NUMBER……………..…………[ ][ ]
DON’T KNOW ………………….…99
D.1.8.B
HOW MANY ADDITIONAL ANMs
WHERE APPOINTED SINCE 1998?
NUMBER……………..…………[ ][ ]
DON’T KNOW ………………….…99
1
D.1.2.A
D.1.4
2
HOW MANY HEALTH WORKERS ARE
THERE IN THE SUBCENTER/SUBSIDIARY CENTER?
HOW MANY ADDITIONAL HEALTH
WORKERS WERE APPOINTED SINCE
1998?
WHAT SERVICES DOES THE SUBCENTER/SUBSIDIARY CENTER
PROVIDE?
NUMBER……………..…………[ ][ ]
DON’T KNOW ………………….…99
D.1.11A
DO OUTREACH DOCTORS VISIT THE
VILLAGE?
YES……………………………..……1
NO…………………………………...2
D.1.11B
HOW OFTEN HAVE THEY VISITED THE
VILLAGE IN THE LAST 6 MONTHS?
NUMBER …………………….…..[ ][ ]
DON’T KNOW………………….…..99
D.1.11C
WHAT SERVICES DO THEY PROVIDE
WHEN THEY VISIT THE VILLAGE
(CIRCLE ALL THAT APPLY)
D.1.12A
DO OUTREACH HEALTH WORKERS
VISIT THE VILLAGE?
EXAMINE SICK PEOPLE………….1
WRITE PRESCRIPTION……………2
IMMUNIZE CHILDREN……………3
GIVE INJECTIONS…………………4
GIVE VITAMINS…………………...5
PROVIDE CONTRACEPTIVES……6
WEIGH CHILDREN ………………..7
MEASURE BLOOD PRESSURE……8
EXAMINE TEETH…………………..9
EXAMINE EYES………………..….10
PRE-NATAL CARE………………..11
POST-NATAL CARE………………12
STERILIZATION CAMP FOR WOMEN..13
STERILIZATION CAMP FOR MEN…….14
ADVICE ON AIDS……………………….15
ADVICE ON LEPROSY………………….16
ADVICE ON MALARIA………………...17
OTHER, SPECIFY………………………18
OTHER (SPECIFY)…………………13
YES……………………………..……1
NO…………………………………...2
D.1.12B
HOW OFTEN HAVE THEY VISITED THE
VILLAGE IN THE LAST 6 MONTHS?
NUMBER …………………….…..[ ][ ]
DON’T KNOW………………….…..99
D.1.9.A
D.1.9.B
D.1.10
NUMBER……………..…………[ ][ ]
DON’T KNOW ………………….…99
EXAMINE SICK PEOPLE………….1
WRITE PRESCRIPTION……………2
IMMUNIZE CHILDREN……………3
GIVE INJECTIONS…………………4
GIVE VITAMINS…………………...5
PROVIDE CONTRACEPTIVES……6
WEIGH CHILDREN ………………..7
MEASURE BLOOD PRESSURE……8
EXAMINE TEETH…………………..9
EXAMINE EYES………………..….10
PRE-NATAL CARE………………..11
POST-NATAL CARE………………12
STERILIZATION CAMP FOR WOMEN..13
STERILIZATION CAMP FOR MEN…….14
ADVICE ON AIDS……………………….15
ADVICE ON LEPROSY………………….16
ADVICE ON MALARIA………………...17
OTHER, SPECIFY………………………18
2
D.1.11.B
D.1.12A
D.1.12.B
D.1.13
3
D.1.12C
WHAT SERVICES DO THEY PROVIDE
WHEN THEY VISIT THE VILLAGE
(CIRCLE ALL THAT APPLY)
D.1.13
HOW MANY ENLISTED DAIS ARE
THERE IN THE VILLAGE?
HOW PRIVATE UNTRAINED DAIS ARE
THERE IN THE VILLAGE?
HOW MANY PRIVATE NURSES ARE
THERE IN THE VILLAGE?
HOW MANY PRIVATE DOCTORS ARE
THERE IN THE VILLAGE?
HAS THERE BEEN A MASS
IMMUNIZATION PROGRAM IN THIS
VILLAGE SINCE 1998? (EXCLUDING
PULSE POLIO)
SINCE 1998, HAS THERE BEEN ANY
CAMPAIGN TO PROVIDE
INFORMATION ABOUT HEALTH IN
THE GP ON EACH OF THE FOLLOWING
SUBJECTS
D.1.14
D.1.15
D.1.16
D.1.17
D.1.18
EXAMINE SICK PEOPLE………….1
WRITE PRESCRIPTION……………2
IMMUNIZE CHILDREN……………3
GIVE INJECTIONS…………………4
GIVE VITAMINS…………………...5
PROVIDE CONTRACEPTIVES……6
WEIGH CHILDREN ………………..7
MEASURE BLOOD PRESSURE……8
EXAMINE TEETH…………………..9
EXAMINE EYES………………..….10
PRE-NATAL CARE………………..11
POST-NATAL CARE………………12
STERILIZATION CAMP FOR WOMEN..13
STERILIZATION CAMP FOR MEN…….14
ADVICE ON AIDS……………………….15
ADVICE ON LEPROSY………………….16
ADVICE ON MALARIA………………...17
OTHER, SPECIFY………………………18
OTHER (SPECIFY)…………………13
NUMBER…………………..…[ ][ ][ ]
DON’T KNOW ……………..……999
NUMBER…………………..….[ ][ ][ ]
DON’T KNOW…………………..999
NUMBER…………………..…[ ][ ][ ]
DON’T KNOW …………….……999
NUMBER…………………..….[ ][ ][ ]
DON’T KNOW……………….…..999
YES………………………………..1
NO…………………………………2
CONTRACEPTION
AIDS/STI
IMMUNIZATION
CHILD NUTRITION
MATERNAL HEALTH
LEPROSY
D.2.
QUESTIONS ON EDUCATION
D.2.1
IS THERE A GOVERNMENT PRIMARY
SCHOOL IN THE VILLAGE? IF IT DOES
NOT HAVE ONE, ASK THE FOLLOWING
QUESTIONS FOR THE SCHOOL TO
WHICH MOST CHILDREN GO
HOW MANY TEACHERS ARE THERE?
WERE ANY ADDITIONAL TEACHERS
APPOINTED SINCE 1998?
IS THERE A VILLAGE EDUCATION
COMMITTEE?
WHEN WAS IT FORMED?
D.2.1.A
D.2.1.B
D.2.2A
D.2.2B
YES….…1
NO……..2
YES….…1
NO……..2
YES….…1
NO……..2
YES….…1
NO……..2
YES…….1
NO……..2
YES…….1
NO……..2
YES……………………………………….1
NO………………………………………..2
NUMBER …………….……………..[ ] [ ]
YES……………………………………….1
NO………………………………………..2
YES…………………………………….1
NO………………………….…………..2
YEAR……………………………..
3
D.2.2A
D.2.3
4
D.2.2C
D.2.2D
D.2.3.A
D.2.3.B
HOW OFTEN DID IT MEET IN THE LAST
6 MONTHS?
WHAT ARE ITS RESPONSIBILITIES?
OVERALL, HAS THE PANCHAYAT ANY
SAY IN THE RUNING OF THE PRIMARY
SCHOOL?
ARE ANY OF THE FOLLOWING
PROBLEMS PRESENT IN THE PRIMARY
SCHOOL? (CIRCLE ALL THAT APPLY)
D.2.4A
IS THERE ANY SSK IN THE VILLAGE?
D.2.4.B
HOW MANY SSK ARE THERE IN THE
VILLAGE ?
WHO RUNS IT/THEM?
D.2.4.C
D.2.4.D
D.2.4.E
D.2.4.F
D.2.4.G
HOW MANY SSK WERE ESTABLISHED
AFER 1998?
HOW MANY TEACHERS ARE THERE IN
TOTAL IN THE SSK?
HOW MANY CHILDREN ARE
ENROLLED IN THE SSK IN TOTAL?
HOW OFTEN DOES IT RUN?
WHEN DOES IT RUN (CIRCLE ALL
THAT APPLY)
D.2.5.A
IS THERE A PANCHAYAT STANDING
EDUCATION COMMITTEE APART
FROM THE VEC?
HOW OFTEN DID IT MEET IN THE LAST
6 MONTHS?
IS THERE AN ANGAN BADI IN THE
VILLAGES?
HOW MANY ANGAN BADIS ARE
THERE?
HOW MANY WERE CREATED SINCE
1998?
D.2.6.A
D.2.6.B
D.2.6.C.
ENSURE UNIVERSAL ENROLLMENT..1
ENSURE MINIMIZATION
OF DROPOUT…………………………….2
ENSURE REGULAR CLASSES……….…3
ENSURE QUALITY OF TEACHING……4
TAKE CARE OF INFRASTRUCTURE….5
TAKE CARE OF BOOKS……………..…6
YES……………………………………1
VERY LITTLE………………………..2
NOT AT ALL…………………………3
LOW ENROLLMENT………………….1
LOW ATTENDANCE………………….2
DROP OUT……………………………..3
LOW TEACHER TURNOUT………….4
LOW TEACHING QUALITY…………5
TEACHERS INVOLVED IN
POLITICAL ACTIVITIES……………..6
YES………………………………………..1
NO…………………………………………2
NUMBER……………………………[ ] [ ]
DON’T KNOW……………………….99
GOVERNMENT…………………………..1
PANCHAYAT…………………………….2
PRIMARY SCHOOL TEACHERS……….3
NGO……………………………………….4
VILLAGERS………………………………5
OTHERS……………………………….….6
D.2.4.H
D.2.5.B
NUMBER……………………………[ ][ ]
4
D.2.4.A
D.2.5.A
MALE………………………………[ ] [ ]
FEMALE……………………………[ ] [ ]
NUMBER ………………………..…..[ ] [ ]
DAILY……………………..………………1
TWICE OR 3 TIMES A WEEK…..………2
WEEKLY……………………………..……3
IRREGULARLY…………………….…….4
MORNING………………………………1
DAY……………………………………..2
EVENING……………………………….3
YES………………………………………..1
NO…………………………………………2
NUMBER……………………………..[ ] [ ]
DON’T KNOW………………………...99
YES………………………………………..1
NO…………………………………………2
NUMBER …………….……………..[ ] [ ]
NUMBER …………….……………..[ ] [ ]
D.2.6B
D.2.7
5
D.2.6.C
D.2.6.E
D.2.7
D.3
D.3.1A
D.3.1B
HOW MANY CHILDREN ARE
ENROLLED IN THE ANGAN BADI IN
TOTAL ?
WHAT ARE THE ACTIVITIES IN THE
ANGAN BADI?
NUMBER …………….……………..[ ] [ ]
WHEN WERE THE LAST GRAM
SANSAD HELD?
ON AVERAGE, IN THE LAST GRAN
SANSADS HELD IN THE VILLAGE,
WHAT WAS THE PERCENTAGE OF
ELIGIBLE MEMBERS WHO
ATTENDEND?
ON AVERAGE, WHAT WAS THE
PERCENTAGE OF SC AMONG
PARTICIPANTS?
ON AVERAGE, WHAT WAS THE
PERCENTAGE OF ST AMONG
PARTICIPANTS?
ON AVERAGE, WHAT WAS THE
PERCENTAGE OF WOMEN AMONG
PARTICIPANTS?
DID WOMEN RAISE QUESTIONS?
MONTH……………………………
YEAR……………………………..
PERCENTAGE………………...[ ] [ ]
HOME VISIT………………………….1
NUTRITION…………………………..2
PRE-SCHOOL ACTIVITES…………..3
HEALTH CHECK UP…………………4
IMMUNIZATION…………………….5
OTHERS, SPECIFY………………………6
IS THERE ANY NGO RUN CHILD
YES……………………………………….1
CENTER/ECCE?
NO………………………………………..2
QUESTIONS ON THE LAST GRAM SANSAD
HOW MANY GRAM SANSAD ARE
NUMBER……………………[ ] [ ] [ ]
THERE IN THE VILLAGE
HOW MANY GRAM SANSAD
NUMBER……………………[ ] [ ] [ ]
MEETINGS WERE HELD SINCE 1998
D.3.2
D.3.3
D.3.4
D.3.5
D.3.6
D.3.7
D.3.8
PERCENTAGE…………………[ ] [ ]
PERCENTAGE…………………[ ] [ ]
PERCENTAGE……………………..[ ] [ ]
YES………………………………..1
NO…………………………………2
QUESTION 1
WHAT TYPES OF QUESTION WERE
RAISED BY WOMEN? (SPECIFY)
QUESTION 2
QUESTION 3
QUESTION 4
QUESTION 5
D.4
WOMEN PARTICIPATION IN SOCIAL AND POLITICAL ACTIVITIES
D.4.1
ARE THERE ANY WOMEN
ORGANIZATIONS IN THE VILLAGE?
HOW MANY WOMEN ORGANIZATIONS
ARE THERE IN THE VILLAGE?
WHICH ARE THE WOMEN
ORGANIZATIONS IN THE GP? (NAME
THEM)
D.4.2
D.4.3
YES…………………………………...1
NO……………………………………2
NUMBER…………………………[ ] [ ]
DON’T KNOW……………………..99
WO 1
WO 2
5
D.4.2.
D.4.5.A
6
WO3
WO4
WO5
WO6
YES……………………………………1
NO……………………………………..2
D.4.4.B
D.4.5.A
YES……………………………………1
NO……………………………………..2
D.4.5.B
D.4.6.A
D.4.5.B
IS THERE ANY TUBEWELL
MANAGEMENT COMMITTEE IN THE
VILLAGE?
HOW MANY ARE THERE?
D.4.5.C
HOW MANY ARE:
ONLY WOMEN……………………[
ONLY MEN……………..…………[
MOSTLY WOMEN…...………….. [
MOSTLY MEN…….………………[
MIXED……………..………………[
D.4.5.D
HOW MANY WERE CREATED AFTER
1998?
AMONG THE TUBEWELL
MANAGEMENT COMMITTEES
CREATED SINCE 1998, HOW MANY
ARE:
NUMBER…………………………..[ ] [ ]
D.4.4.A
D.4.4.B
D.4.5.A
D.4.5.E
D.4.6.A
D.4.6.B
D.4.7 A
D.4.7 B
D.4.8.A
D.4.8.B
WAS ANY NEW WOMEN
ORGANIZATION CREATED SINCE1998?
IF YES, WHICH?
[INTERVIEWER: USE NUMBERS FROM
QUESTION D.4.3]
NUMBER…………………..[ ] [ ]
IS THERE A WOMEN
COOPERATIVE/SELF HELP GROUP IN
THE VILLAGE?
IF YES: WAS IT CREATED AFTER 1998?
IS THERE A GRAMEEN BANK IN THE
VILLAGE?
IS THERE ANY OTHER COOPERATIVE
IN THE VILLAGE?
WAS THERE ANY IMPORTANT ISSUE
TAKEN UP BY WOMEN OF THE
VILLAGE IN THE PAST 6 MONTHS?
WHICH WERE THE ISSUES/PROBLEM
TAKEN UP BY WOMEN OF THE
VILLAGE IN THE PAST 6 MONTHS?
(SPECIFY)
ONLY WOMEN……………………[ ] [ ]
ONLY MEN……………..…………[ ] [ ]
MOSTLY WOMEN…...………….. [ ] [ ]
MOSTLY MEN…….………………[ ] [ ]
MIXED……………..………………[ ] [ ]
YES……………………………………1
NO……………………………………..2
D.4.7.B
D.4.8.A
YES……………………………………1
NO……………………………………..2
YES……………………………………1
NO……………………………………..2
YES………………….…………………1
NO……………………………………..2
YES………………….…………………1
NO……………………………………..2
D.4.8.B
END
ISSUE 1
ISSUE 2
ISSUE 3
ISSUE 4
ISSUE 5
6
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